<%-- 
    Document   : ModifOptions
    Created on : 17 nov. 2013, 17:10:16
    Author     : Gautch
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title>Modification Option</title>
        <link type="text/css" rel="stylesheet" href="form.css" />
        <style type="text/css">
                        body {
                              padding-top: 200px;
                              padding-bottom: 40px;
                        }
          </style>
    </head>
    <body>
        <div class="navbar navbar-inverse navbar-fixed-top">
            <div class="navbar-inner">
                <div class="container">
                    <button type="button" class="btn btn-navbar" data-toggle="collapse" data-target=".nav-collapse">
                        <span class="icon-bar"></span>
			<span class="icon-bar"></span>
			<span class="icon-bar"></span>
                    </button>
                    <a class="brand" id="logo" href="#">Assur'Tout</a>
                    <div class="nav-collapse collapse">
                        <ul class="nav">
                            <li><a href="ActionCourtier.jsp">Accueil</a></li>
                            <li><a href="SouscrireContrat.jsp">Inscrire un client</a></li>
                            <li><a href="RenseignerClient.jsp">Renseigner un client</a></li>
                            <li class="active"><a href="SouscrireNvlleOptions.jsp">Souscrire à de nouvelles options</a></li>
                            <li><a href="DeclarerSinistre.jsp">Déclarer un sinistre</a></li>
                            <li><a href="#contact">Se déconnecter</a></li>					
                        </ul>
                    </div>
		</div>
            </div>
	</div>
        <div class="container">
            <div class="hero-unit" align=center>
                <h1>Contrats en cours</h1>
            </div>
            <table class="table table-striped">

<!--            <tr>
                <th>Statut</th>  
                <td>
                    <input type="radio" name="modif" value="modifOui" checked/>Oui
                    <input type="radio" name="modif" value="modifNon"/>Non
                </td>
            </tr>

            <tr>          
                <th>Numero contrat auto</th>
                <td>
                    <input type="radio" name="modif" value="modifOui" checked/>Oui
                    <input type="radio" name="modif" value="modifNon"/>Non
                </td>
            </tr>

            <tr>
                <th>Modèle</th>
                <td>
                    <input type="radio" name="modif" value="modifOui" checked/>Oui
                    <input type="radio" name="modif" value="modifNon"/>Non
                </td>
            </tr>

            <tr>
                <th>Categorie Auto</th>
                <td>
                    <input type="radio" name="modif" value="modifOui" checked/>Oui
                    <input type="radio" name="modif" value="modifNon"/>Non
                </td>
            </tr>

            <tr>
                <th>Immatriculation</th>
                <td>
                    <input type="radio" name="modif" value="modifOui" checked/>Oui
                    <input type="radio" name="modif" value="modifNon"/>Non
                </td>
            </tr>

            <tr>
                <th>Prix automobile</th>
                <td>
                    <input type="radio" name="modif" value="modifOui" checked/>Oui
                    <input type="radio" name="modif" value="modifNon"/>Non
                </td>
            </tr>-->

            <tr>
                <th>Tiers</th>
                <td>
                    <input type="radio" name="Tiers" value="modifOui" />Oui
                    <input type="radio" name="Tiers" value="modifNon" checked/>Non
                </td>
            </tr>

            <tr>
                <th>Bris de Glace</th>
                <td>
                    <input type="radio" name="bdg" value="modifOui" />Oui
                    <input type="radio" name="bdg" value="modifNon" checked/>Non
                </td>
            </tr>

            <tr>
                <th>Vol</th>
                <td>
                    <input type="radio" name="Vol" value="modifOui" />Oui
                    <input type="radio" name="Vol" value="modifNon" checked/>Non
                </td>
            </tr>

            <tr>
                <th>Tout risque</th>
                <td>
                    <input type="radio" name="ToutRisque" value="modifOui" checked/>Oui
                    <input type="radio" name="ToutRisque" value="modifNon" />Non
                </td>
            </tr>

<!--            <tr>
                <th>Franchise</th>   
                <td>
                    <input type="radio" name="modif" value="modifOui" checked/>Oui
                    <input type="radio" name="modif" value="modifNon"/>Non
                </td>
            </tr>-->
        </table>
        
        
   <input type="submit" class="btn btn-primary btn-large" name="submit" value="Soumettre" >
        </div>

    </body>
</html>
